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This is VAERS ID 26049

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 26049 (history)  
Form: Version .0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:1989-11-06
Onset:1989-11-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: CHILLS, FEVER, INJECT SITE REACT
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Pneumovax 23 developed pain, swelling & erythema at inject site; chills & fever.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26049


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